NSG 6005 WEEK 6 Pharmacology Questions with Complete Solutions

Jayla is a nine-year-old who has been diagnosed with migraines for almost two years. She is missing up to a week of school each month. Her headache diary confirms she averages four or five migraines per month. Which of the following would be appropriate? A. Prescribe amitriptyline (Elavil) daily, start at a low dose and increase the dose slowly every two weeks until effective in eliminating migraines. B. Encourage her mother to give her Excedrin Migraine (aspirin, acetaminophen, and caffeine) at the first sign of a headache to abort the headache. C. Prescribe propranolol (Inderal) to be taken daily for at least three months. D. Explain that it is rare for a nine-year-old to get migraines and that she needs an MRI to rule out a brain tumor. Correct Answer-C. Prescribe propranolol (Inderal) to be taken daily for at least three months. When prescribed an opioid analgesic such as acetaminophen and codeine (Tylenol #3), which of the following instructions should the patient follow? A. The medication may cause sedation, so the patient should not drive. B. Constipation is a common side effect, so the patient should increase fluids and fiber.